MedicaidReimbursementMedium impact
Attention Provider Types 20 (Physician, M.D., Osteopath D.O.), 24 (Advanced Practice Registered Nurses), and 77 (Physician’s Assistant): Rates for Procedure Codes G0398, G0399, and G0400 Submitted with Modifiers TC and 26
Nevada Medicaid·NV · Sleep Medicine, Pulmonology·Provider Announcement
Effective date
Jan 26, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has added reimbursement rates for home sleep test codes G0398, G0399, and G0400 when billed with modifiers TC and 26 by physicians, nurse practitioners, and physician assistants. Claims with these modifier combinations will now be paid appropriately starting January 26, 2026.
Action Required
Immediately: Billing team should verify that Nevada Medicaid claims for home sleep test codes G0398, G0399, and G0400 with modifiers TC and 26 are now processing for payment when billed by physicians (type 20), APRNs (type 24), and physician assistants (type 77). Update billing staff to expect proper reimbursement for these combinations going forward.